Name
 Email
 Telephone
Home     |      About Us     |      Contact Us     |      Privacy Policy
  NAVIGATION
  Retail Merchants
  Wireless Merchants
  Internet Merchants
  MO/TO Merchants
  Products
  Rates & Fees
  Partners
  Become An Agent


 

If you are interested in becoming a Referral Partner for your Association, Franchise, or a Hosting company, please complete the inquiry form below:

(* indicates required field)

Status  
Business Name  
Last Name*  
First Name*  
Address 1  
Address 2  
City  
U.S. State  
ZIP/Postal Code  
E-mail Address*  
Day Telephone*  
Evening Telephone  
Did someone refer you to Paymentmax Processing Inc.?
No Yes-Who referred you to Paymentmax?
Please call (800) 979-0210 if you have any questions.
© 2007 Paymentmax Processing, Inc. | All Rights reserved
Paymentmax is a registered ISO/MSP for BancorpSouth Bank, Tupelo, MS.
Powered by First Data Corporation
All trademarks, service marks and trade names referenced in this material are the property of their respective owners.